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2026
,Always be concerned with the decreased urine output (less than 75 mL within 3 hours)
Normal output is 30 mL per hour
What do you document about an IV?
IV site, the IV size, description of the site, call light in reach, how patient responded and
fluid infused
You have a patient who received a bolus of 500 mL/hr and now they are short of
breath, what would your nursing intervention be?
Raise the head of the bed, notify the physician
Which labs would be the most concerning, that you would report right away?
BUN of 40
Potassium of 4.9
Creatinine of 4.1
You have an IV of NS going at 50 mL/hr for 8 hours and the patient drank several
glasses of water during the shift, the patient only received 100 mL of the IV fluid, what
would you do?
Report I's and O's to the doctor
,What replacement fluid would you give to a patient who has come into the hospital for
burns?
Lactated Ringers
What patient would you give IV fluids to?
- DKA = regular insulin (LPNs cannot administer)
- Vomiting and Diarrhea
- NPO **ALWAYS PRIORITY**
You have a patient who has lung disease receiving NS at 150 mL/hr and they are short of
breath with a pulse oximeter of 90%, what would you do?
Slow down IV to KVO (keep veins open)
0.45% of NS going 100 mL/hr, the alarm is ringing because the bag is empty and the
patient's pulse is 110, respiratory rate of 22 and the blood pressure is 80/40, and the O2 sat
is 95. What would you do?
DO NOT ADMINISTER ANY MORE HYPOTONIC SOLUTION, RECOMMEND
HYPERTONIC
What does isotonic solutions do to the body?
It will not cause fluid shift when infused
A 17 year old comes into the ER needing an IV started, what would we do?
LPN’s cannot do anything IV wise for a patient younger than 18, contact the RN
A 19 year old patient needs gentamicin, what would you do?
, You are working with an RN, and she is teaching you about IV insertion, what are you
allowed to do?
The LPN can place IV catheter in the forearm, antecubital space and hand. NOT THE
BICEP.
Can LPN's hang the 2nd, 3rd, 4th bag of NS with multivitamins?
yes
Can LPNs hang NS for adults?
yes they can
Can LPNs hang the second bag of IV antibiotic, not the first?
No, you can hang the first bag of antibiotics for the adult
Can LPNs hang IV antibiotics of vancomycin for an adult?
yes LPNs can
0.9% NaCl needs to infuse over 7 hours, you have 100 mL, the drop factor is 15 drops per
minute, what would you set the pump at? (if it's a pump always mL/hr)
100/7 = 14 mL/hr